Carrie Lachance - 30 Jun 2023 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role: President and COO, Director
Signature: /s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance
Issuer symbol: INFU
Transactions as of: 30 Jun 2023
Net transactions value: -$37,817
Form type: 4
Filing time: 03 Jul 2023, 18:35:49 UTC
Previous filing: 22 May 2023
Next filing: 05 Mar 2024
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	INFU	Common Stock	Options Exercise	$84,000	+25,000	+19%	$3.36	156,095	30 Jun 2023	Direct
transaction	INFU	Common Stock	Tax liability	$121,817	-12,729	-8.2%	$9.57	143,366	30 Jun 2023	Direct	F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	INFU	Stock Option (right to buy)	Options Exercise	$0	-25,000	-100%	$0.000000^*	0	30 Jun 2023	Common Stock	25,000	$3.36	Direct	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Reflects the number of shares surrendered in connection with the cashless exercise and tax withholding obligations for the exercised option.
F2	The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting July 19, 2019.